JABFM
HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text Freely available
Right arrow Full Text (PDF) Freely available
Right arrow Rapid Responses: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Rapid Responses are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Haney, S.
Right arrow Articles by Xu, Z.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Haney, S.
Right arrow Articles by Xu, Z.
The Journal of the American Board of Family Practice 18:189-198 (2005)
© 2005 American Board of Family Practice

Clinical Review

Diastolic Heart Failure: A Review and Primary Care Perspective

Sean Haney, MD, Denise Sur, MD and Zijian Xu, MD PhD

Department of Family Medicine, Division of Sports Medicine, Kaiser Permanente, Los Angeles, California (SH)
Department of Family Medicine (DS), David Geffen School of Medicine at UCLA, Santa Monica, California
Division of Cardiology, Department of Medicine (ZX), David Geffen School of Medicine at UCLA, Santa Monica, California

Correspondence: Address correspondence to Dr. Sean Haney, Department of Family Medicine, Division of Sports Medicine, Kaiser Permanente, 4950 Sunset Boulevard, Los Angeles, CA 90027 (e-mail: sean.x.haney{at}kp.org)

Previously the subject of much debate, there is now consensus that diastolic heart failure (DHF) represents a distinct form of heart failure. Epidemiologic data indicate that DHF is common. Indeed, there is evidence that, among elderly persons, DHF is more common than systolic heart failure (SHF). Like SHF, DHF is associated with significant morbidity, mortality, and cost; however, few clinical trials focusing on isolated DHF have been completed. Much of the treatment of DHF is based on current concepts of the pathophysiology of DHF, small clinical studies, and experience gained from treating patients with SHF. The diagnosis of DHF is clinical; data supporting the establishment of a diagnosis of DHF are limited. Differences exist in prognosis and treatment between diastolic and systolic heart failure. This article reviews diastolic heart failure with emphasis on evidence-based management, aimed at primary care physicians who routinely provide care to patients with DHF.






HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2005 by the American Board of Family Medicine.